Thanks to the neurosurgery team, the headache that has been bothering me for so long has finally been solved, kudos to you!Recently, Ms. Chen, a patient, sent a pennant and a letter of thanks to the Department of Neurosurgery of the PLA General Hospital to the Department of Neurosurgery of the Fifth Medical Center.
Ms. Chen, 37, has been suffering from headaches for the past two years, but she has not paid attention to it. A month ago, when she was crossing the street, she suddenly felt that the zebra crossings in front of her had turned into curved wavy lines, and her headache worsened and she vomited. Realizing the seriousness of the problem, Ms. Chen went to the Department of Neurosurgery at the Fifth Medical Center.
After inquiring about the condition in detail, Director Han Cong was admitted to the hospital for systematic examination, considering that Ms. Chen was relatively young, had fundus abnormalities and symptoms of suspected intracranial hypertension, and the cause of the headache did not seem to be simple, and it was likely to be a disease of the cerebral venous system.
When performing a lumbar puncture on a patient, the patientAbnormally high intracranial pressureIt attracted the attention of Director Han, and combined with imaging examination and angiography examination, Ms. Chen was confirmedIdiopathic intracranial hypertension due to severe venous sinus stenosis, with a stenosis of more than 90%.
The arrow is a narrow position
Blood flow returns to normal in the stenosis after stenting
Director Han Cong pointed out: "The incidence rate of venous sinus stenosis is low, which is easy to be ignored in clinical practice, and is often misdiagnosed as viral encephalitis in the early stage. In order to reduce Ms. Chen's intracranial pressure and improve her headache symptoms, the medical team decided to implement it for the patient as soon as possibleVenous sinus stenting surgery
During the operation, under the guidance of Professor Cao Xiangyu of the Department of Neurointervention, Yang Rimiao, deputy chief physician of the department, adopted the dual arterial and venous access method of both lower limbs, placed the catheter in the stenosis site, and used multiple sets of guidewire catheter coaxial technology to accurately release the stent.
After the operation, the lumen of the contrast tube was smooth, the venous return was good, the lumbar puncture pressure value returned to the normal value, Ms. Chen's headache symptoms were significantly relieved, and her vision basically returned to normal.
Health Tips:Typically, the clinical manifestations of intracranial venous sinus stenosis are associated with increased intracranial pressure, such as headache, pulsatile tinnitus, and vision loss, with headache being the most common. If you have recurrent headaches and blurred vision, be alert to idiopathic intracranial hypertension due to venous sinus stenosis, go to the hospital in time for cerebrovascular examination, such as magnetic resonance venous imaging (MRV). Cerebral angiography is the gold standard for diagnosing such diseases, and timely and accurate diagnosis contributes to a good prognosis of the disease.
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Supervisor|Political Work Department of the General Hospital of the People's Liberation Army
Sponsorship|Propaganda Department Rong ** Center
**|Fifth Medical Center
**|ZhangThick ground.
Photography |Zhao Bo.
Issue |Article 2466Period
Editor-in-chief: Xiong Gang.
Editor-in-Chief:Zhang KuiEditor:Zhang Mi
Editor: Chu Jieya
E-mail: jfjzyy01@163com